VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children of America - Lee's Hill, LLC
4555 Empire Court
Fredericksburg, VA 22408
(540) 898-8858

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: Nov. 18, 2024

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Technical Assistance:

Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/. Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new.

Comments:

An unannounced, on-site monitoring inspection was initiated on 11/18/2024 and completed on 11/21/2024, as a part of the licensure period. The on-site inspection began at 10:10am and ended at 1:20pm. The inspector reviewed compliance in the areas listed above. There were 90 children present and 16 staff. The inspector reviewed nine children?s records and nine staff records on-site. Additional documentation was reviewed electronically on 11/19/2024. This inspection included document review, tour of the facility, interviews, and observations. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-780-160-C
Description:	A tuberculosis (TB) screening is required every two years from the last screening. The updated TB screening for Staff #3 was obtained 15 days after the previous one expired. The updated TB screening for Staff #5 was obtained 20 days after the previous one expired. The updated TB screening for Staff #7 was obtained five days after the previous one expired.
Plan of Correction:	Moving forward, the center will ensure staff provide an updated TB within the required timeframe.
Standard #:	8VAC20-780-510-P
Description:	When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #3 was onsite, but the medication authorization had expired over 30 days ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.
Plan of Correction:	The authorization was renewed on 11/19/2024.